NPI 1871200477
Dungarvin New Mexico, LLC
Practice location
- Address
- 513b Williams St, Gallup, NM 87301-4799
- Phone
- (505) 722-4383
- Mailing address
- 1444 Northland Dr STE 200, Mendota Heights, MN 55120-1032
Authorised official
- Name
- Lori Kress
- Title
- Ceo
- Phone
- (651) 699-0206
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1871200477
- Entity type
- Organization
- NPI issued
- 2 Nov 2022
- Record last updated
- 27 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.